CQC report explained · a nursing home
What the CQC found at Cedar Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Inspected but not rated; inspectors were largely assured about infection control, but some staff did not wear masks correctly.
This was an announced, targeted inspection on 18 January 2022. It looked at infection prevention and control during the COVID-19 pandemic, and asked about staffing pressures.
Inspectors were assured about most infection control arrangements. These included testing, visiting, social distancing, cleaning, ventilation, safe admissions and managing outbreaks. Staff were trained to use protective equipment, but some were seen with masks below their noses.
The home supported activities for people, including those isolating, and kept relatives informed about visiting arrangements. The service was inspected but not rated, so this report does not give an overall quality rating.
Activities during isolation
The home provided activities for people who were isolating, including exercise and ways to share family memories.
“An activities coordinator, alongside staff, helped to ensure that people had opportunity to engage in therapeutic activities, including those in isolation.” from the report
Visiting arrangements
A booking system supported visits, including during COVID-19 outbreaks. Relatives were regularly told about visiting arrangements and changes.
“A booking system operated for visiting and essential care givers could visit daily, including during COVID-19 outbreaks, in line with government guidance.” from the report
Infection control measures
Inspectors were assured about most infection control arrangements, including cleaning, ventilation, testing and outbreak management.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Support for social distancing
The home changed the use of some rooms to support social distancing and gave couples a private place to eat together.
“Additional staff rooms were created from smaller dining rooms used less frequently by people to support social distancing.” from the report
Masks not always worn correctly
needs fixingInspectors saw some staff with face masks below their noses. Visitors had also reported seeing this. The manager said action would be taken.
“However, we observed some staff with their face masks pulled down below their nose and we received feedback this had also been observed during visiting.” from the report
- 01What action was taken after inspectors saw some staff wearing masks below their noses?
- 02How do managers check that staff wear protective equipment correctly during every shift?
- 03How are visits arranged during an outbreak, and how are relatives told about changes?
- 04What activities are available for people who need to isolate?
- 05What staffing pressures are currently affecting the home, and what measures are in place to manage them?
This was a targeted inspection of infection prevention and control and staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 12 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2018
Cedar Lodge rated Good; inspectors found kind, safe care and clear improvements since the previous inspection, with some records needing better completion.
This was an unannounced, comprehensive inspection on 24 July 2018. Inspectors spoke with people living at the home, relatives, staff and managers. They observed care, reviewed care plans and records, and checked training, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, kind and respectful care, activities suited to people's interests, and positive leadership.
The report says improvements had been made since May 2017, when responsive care and leadership needed improvement. Inspectors also found some gaps, including incomplete records for some medicine patches and limited use of behaviour charts. These issues did not change the overall Good rating.
Kind and respectful staff
Staff treated people with warmth, patience and dignity. They involved people in decisions about their daily care and took time to listen.
“Staff were very motivated and greeted everyone with friendliness and consideration.” from the report
Enough trained staff
Inspectors found enough staff to provide planned care and respond to people's emotional and social needs. Training was up to date and included support for the specific needs of people living at the home.
“There were enough suitably trained staff with the appropriate skills and knowledge to care for people safely and respond to their emotional and social needs.” from the report
Good support with food and drink
People had meal choices, snacks and drinks. Staff understood individual dietary needs and referred people to healthcare professionals when there were concerns about eating or drinking.
“There was a strong emphasis on people eating and drinking well.” from the report
Activities and personal interests
People could choose activities, time in their own rooms, social events and community links. Music therapy and the 'seize the day' scheme supported emotional wellbeing and personal interests.
“People were able to take part in a range of leisure activities and other pursuits which reflected their choice and interests and promoted their physical, emotional and mental health.” from the report
Improved leadership
The report says leadership had improved since the previous inspection. Staff felt supported and believed managers listened to their concerns and suggestions.
“At this inspection we found the leadership of the home had improved.” from the report
Medicine patch records
needs fixingStaff checked that patches were in place, but records showing where patches were applied and when they were removed were not always completed. The manager took immediate action during the inspection.
“rotation charts showing the site and date of removal of the patches were not always completed.” from the report
Pharmacist advice not always signed
needs fixingWhen medicines were given disguised in food or drink, the pharmacist had not always signed to confirm their advice. The manager said this would be done in future.
“The pharmacist had not always signed to confirm their advice, but the registered manager told us they would ensure this was done in future.” from the report
Delayed emergency lighting repair
needs fixingSome emergency lighting was recorded as not working for six weeks. The report says the alarm system was still operating and the issue had been fixed by the inspection.
“However, sometimes the length of time to rectify issues was excessive.” from the report
Behaviour records could be more useful
needs fixingBehaviour charts were in use, but inspectors said they were not always used well enough to identify what triggered anxiety or distress. Further staff training had been arranged.
“the charts could be used more effectively to identify any specific triggers for these behaviours.” from the report
- 01How do you now make sure medicine patch application and removal records are completed every time?
- 02How do you record and review advice from pharmacists when medicines are given disguised in food or drink?
- 03What training did staff receive to use behaviour charts and identify triggers for anxiety or distress?
- 04How quickly are faults with emergency lighting and other safety equipment repaired and checked?
- 05What changes have been made since the May 2017 inspection, and how do you know those changes are working?
This was an unannounced comprehensive inspection covering all five CQC questions, the accommodation and the care provided. This explanation was written from the published report of 22 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Cedar Lodge
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Requires improvementdown from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 10 November 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Warwickshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
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